Section 182-537-0100. Purpose.  


Latest version.
  • The medicaid agency pays school districts for school-based health care services provided to medicaid-eligible children who require special education services consistent with Sections 1903(c) and 1905(a) of the Social Security Act. Covered services must:
    (1) Identify, treat, and manage the education-related disabilities (i.e., mental, emotional, and physical) of a child who requires special education services;
    (2) Be prescribed or recommended by licensed physicians or other licensed health care providers within their scope of practice under state law;
    (3) Be medically necessary;
    (4) Be diagnostic, evaluative, habilitative, or rehabilitative in nature;
    (5) Be included in the child's current individualized education program (IEP) or individualized family service plan (IFSP); and
    (6) Be provided in a school setting.
    [Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 16-07-141, § 182-537-0100, filed 3/23/16, effective 4/23/16. Statutory Authority: RCW 41.05.021. WSR 13-05-017, § 182-537-0100, filed 2/7/13, effective 3/10/13. WSR 11-14-075, recodified as § 182-537-0100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, and 42 C.F.R. 440.110. WSR 09-07-004, § 388-537-0100, filed 3/4/09, effective 4/4/09. Statutory Authority: RCW 74.08.090. WSR 01-02-076, § 388-537-0100, filed 12/29/00, effective 1/29/01. Statutory Authority: RCW 74.04.050 and 74.08.090. WSR 00-01-088, § 388-537-0100, filed 12/14/99, effective 1/14/00.]
RCW 41.05.021 and 41.05.160. WSR 16-07-141, § 182-537-0100, filed 3/23/16, effective 4/23/16. Statutory Authority: RCW 41.05.021. WSR 13-05-017, § 182-537-0100, filed 2/7/13, effective 3/10/13. WSR 11-14-075, recodified as § 182-537-0100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, and 42 C.F.R. 440.110. WSR 09-07-004, § 388-537-0100, filed 3/4/09, effective 4/4/09. Statutory Authority: RCW 74.08.090. WSR 01-02-076, § 388-537-0100, filed 12/29/00, effective 1/29/01. Statutory Authority: RCW 74.04.050 and 74.08.090. WSR 00-01-088, § 388-537-0100, filed 12/14/99, effective 1/14/00.